Medical Biller

Infusion Solutions of Delaware (ISD) is seeking an experienced, dependable Medical Biller to join the team. This role focuses primarily on claims posting and follow-up, denial management, and patient billing.

The ideal candidate is organized, detail-oriented, and comfortable ensuring claims are processed accurately and outstanding balances are addressed promptly. The position requires persistence in resolving denials, attention to reimbursement accuracy, and a commitment to maintaining an efficient and patient-friendly billing process.

Primary responsibilities

• Post and reconcile insurance payments, adjustments, and denials accurately.
• Assist with prior authorizations.
• Review outstanding and denied claims and take appropriate action to obtain payment.
• Research denial reasons and submit corrected claims, reconsiderations, or appeals as appropriate.
• Follow up with insurance carriers regarding unpaid, underpaid, or incorrectly processed claims.
• Identify recurring denial or reimbursement issues and escalate trends when appropriate.
• Generate and send patient statements.
• Review patient balances and respond to patient billing questions.
• Correct billing errors and maintain accurate account documentation.
• Work with authorization, clinical, and administrative staff to resolve claim issues.
• Maintain timely and accurate follow-up on assigned accounts while protecting patient confidentiality and complying with HIPAA requirements.